Quiz 4

Question 1

A nurse is caring for a client who has osteoporosis and takes a daily calcium supplement. Which of the following adverse effects of calcium should the nurse suspect when the client reports having flank pain?

A. Hepatitis
B. Hip fracture
C. Renal stones
D. Pancreatitis

Answer 1

C. Renal stones

Question 2

A nurse is talking with an older adult client who has an elevated risk for osteoporosis about strategies for preventing bone loss. Which of the following instructions should the nurse provide?

A. Begin a program of brisk walking
B. Take 800 mg of calcium per day
C. Drink plenty of sparkling water
D. Drink 8 ox of red wine each day

Answer 2

A. Begin a program of brisk walking

Question 3

A nurse is teaching a client who is starting to take alendronate effervescent tablets to treat osteoporosis. Which of the following information should the nurse include?

A. “Sit upright or stand for at least 30 minutes after taking this medication.”
B. “Take this medication with food.”
C. “Take this medication with orange juice.”
D. “Chew or suck on the tablet.”

Answer 3

A. “Sit upright or stand for at least 30 minutes after taking this medication.”

Question 4

A client is about to start taking celecoxib(Celebrex) to treat osteoarthritis symptoms. The nurse should instruct the client to watch for and report which of the following possible indications of a serious reaction to this drug?

A. black, tarry stools
B. polyuria
C. bone pain
D. dry mouth

Answer 4

A. black, tarry stools

Question 5

A nurse is teaching a client who has OA. Which of the following instructions should the nurse include in the teaching?

Answer 5

“Take acetaminophen as the primary medication to treat the pain.”

Question 6

A nurse is teaching a group of clients about osteoarthritis. Which of the following recommendations should the nurse include in the teaching?

a. Use Echinacea to manage joint pain.
b. Apply ice to the joint before exercising.
c. Maintain a recommended body weight.
d. Reduce the amount of purine in the diet.

Answer 6

c. Maintain a recommended body weight.

Question 7

A nurse is assessing a client for early manifestations of rheumatoid arthritis (RA). Which of the following changes is an early manifestation of RA?

a. morning stiffness
b. fatigue
c. temporomandibular joint pain
d. baker’s cysts

Answer 7

b. fatigue

Question 8

A nurse is teaching a client who has RA about self-care strategies for managing the disease. Which of the following activities should the nurse include in the teaching?

A. Press water from a sponge rather than wringing it
B. Lift objects instead of sliding or pushing them.
C. Finish weekly household tasks within 1 or 2 days
D. Engage in repetitive tasks that keep the joint mobile

Answer 8

A. Press water from a sponge rather than wringing it

Question 9

A nurse is completing discharge instructions with a client following an acute onset of gout. What client statement indicates an understanding of the treatment regimen?

A. “I will closely follow a high-purine diet”
B. “I will limit my fluid intake to 100 mL per day”
C. “I will limit my alcohol intake”
D. “I will take azithromycin to treat it

Answer 9

C. “I will limit my alcohol intake”

Question 10

A nurse is teaching a client who has a new diagnosis of gout about managing the disorder. What instruction should the nurse include in the teaching?

Answer 10

Eat less liver, sardines, and shrimp

Question 11

What is a late manifestation of rheumatoid arthritis (RA)?

Answer 11

joint deformity

Question 12

A nurse is teaching with a client about taking high doses of oral glucocorticoids for an extended period of time to treat rheumatoid arthritis. Which of the following instructions should the nurse include in the teaching?

Answer 12

“Monitor for compression fractures of the back and neck”

Question 13

A nurse is planning care for a client who is postoperative following a total hip arthroplasty. Which of the following interventions should the nurse include in the plan of care?

a. Instruct the client to avoid movement of the affected leg
b. Prevent hip flexion of the affected extremity
c. Position the lower extremities so that they are touching
d. Position the lower extremities so they are toughing

Answer 13

b. Prevent hip flexion of the affected extremity

Question 14

A nurse is caring for a client who is 12 hours postoperative following a total hip arthroplasty. Which of the following medications should the nurse anticipate administering to this client to prevent deep vein thrombosis (DVT)?

A. Aspirin
B. Warfarin
C. Ticagrelor
D. Enoxaparin

Answer 14

D. Enoxaparin

Question 15

A nurse is caring for a client following a hip arthroplasty. The nurse places an abduction pillow on the client for which of the following purposes?

A. To raise the bed lines off the client’s feet to prevent plantar flexion
B. To keep the client’s heels off the bed to prevent pressure ulcers
C. To position the client off the operative site while in bed
D. To prevent dislocation of the hip during position changes or movement

Answer 15

D. To prevent dislocation of the hip during position changes or movement

Question 16

What is within the scope of practice of the AP?

Answer 16

recording output

Question 17

A nurse in a medical clinic is providing teaching to an older adult client who has OA that is affecting her knees. Which of the following client statements indicates an understanding of the teaching?

Answer 17

“I can use either heat or ice to help relieve my discomfort”

Question 18

What triggers the formation of vitamin D in the body?

Answer 18

exposure to sunlight

Question 19

A nurse is teaching a client how to follow a low-purine diet as prescribed by the provider for the management of gout. What statement indicates the client understands the teaching?

Answer 19

“I should avoid eating liver and other organ meats.”

Question 20

A nurse is reviewing discharge instructions with a client who has rheumatoid arthritis and a new prescription for prednisone. Which of the following statements by the client indicates an understanding of the teaching?

Answer 20

“I should eat more bananas while taking this medication.”

Question 21

A nurse in a provider’s office is assessing a client who has rheumatoid arthritis (RA). Which of the following findings is a late manifestation of this condition?

Answer 21

Knuckle deformity

Question 22

A nurse is assessing an older adult client who has osteoporosis. Which of the following spinal deformities should the nurse expect to find in this client?

A. Lordosis
B. Ankylosis
C. Kyphosis
D. Scoliosis

Answer 22

C. Kyphosis

Question 23

A nurse is teaching a client who is at risk for osteoporosis. The nurse should instruct the client that which of the following foods is the best source of calcium?

A. Almond milk
B. Whole milk
C. Soy milk
D. Low fat milk

Answer 23

A. Almond milk

Question 24

A goal for a client who has difficulty with self-feeding due to rheumatoid arthritis is to use adaptive devices. The nurse caring for the client should initiate a referral with which of the following members of the interprofessional care team?

A. Social worker
B. Certified Nursing Assistant
C. Registered dietitian
D. Occupational therapist

Answer 24

D. Occupational therapist

Question 25

A nurse is caring for a client who is 1-day postoperative following total hip arthroplasty. It is 0830 and the client is schedule for physical therapy (PT) at 0900. Which of the following interventions should the nurse take?

A. Encourage client to use full weight-bearing
B. identify the clients pain level and medicate if needed
C. teach the client which positions to avoid during PT
D. perform the clients morning care

Answer 25

B. identify the clients pain level and medicate if needed

Question 26

Which finding for a patient who is taking hydroxychloroquine (Plaquenil) to treat rheumatoid arthritis is likely to be an adverse effect of the medication?

a. Blurred vision
b. Joint tenderness
c. Abdominal cramping
d. Elevated blood pressure

Answer 26

a. Blurred vision

Question 27

A patient with an acute attack of gout in the right great toe has a new prescription for probenecid. Which information about the patient‘s home routine would the nurse understand indicates a need for teaching regarding gout management?

a. The patient sleeps 8-10 hours each night.
b. The patient usually eats beef once a week.
c. The patient takes one aspirin a day to prevent angina.
d. The patient usually drinks about 3 quarts water each day.

Answer 27

c. The patient takes one aspirin a day to prevent angina.

Question 28

A patient with hypertension and gout has a red, painful right great toe. Which action would the nurse include in the plan of care for this patient?

a. Use a footboard to hold up the bedding.
b. Gently palpate the toe to assess swelling.
c. Use pillows to keep the right foot elevated.
d. Teach the patient to avoid acetaminophen (Tylenol).

Answer 28

a. Use a footboard to hold up the bedding.

Question 29

Which finding would indicate to the nurse that colchicine has been effective for a patient with an acute attack of gout?

a. Reduced joint pain
b. Increased urine output
c. Elevated serum uric acid
d. Increased white blood cells

Answer 29

a. Reduced joint pain

Question 30

A patient has recently been diagnosed with rheumatoid arthritis (RA) The patient, who has two school-age children, tells the nurse that home life is very stressful. Which initial response would the nurse make?

a. “You need to see a family therapist for some help with stress.”
b. “Tell me more about the situations that are causing you stress.”
c. “Perhaps it would be helpful for your family to be in a support group.”
d. “Your family should understand the impact of your rheumatoid arthritis.”

Answer 30

b. “Tell me more about the situations that are causing you stress.”

Question 31

Which laboratory result would the nurse monitor to determine if prednisone has been effective for a patient who has an acute exacerbation of rheumatoid arthritis?

a. Blood glucose
b. C-reactive protein
c. Serum electrolytes
d. Liver function tests

Answer 31

b. C-reactive protein

Question 32

Which menu choice by a patient with osteoporosis indicates the nurse‘s teaching about appropriate diet has been effective?

a. Pancakes with syrup and bacon
b. Whole wheat toast and fresh fruit
c. Egg-white omelet and a half grapefruit
d. Oatmeal with skim milk and fruit yogurt

Answer 32

d. Oatmeal with skim milk and fruit yogurt